PHILLIP C FORSLUND Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003405

License Status

NOT RENEWED

Business

First Name

PHILLIP C

Last Name

FORSLUND

Business Name

PHILLIP C FORSLUND

Original Issue Date

07/27/1987

Expiration Date

11/30/1991

City

DUNLUTH

State

Zip

55805

County

MINNESOTA

Ever Disciplined

LastModifiedDate

05/27/2005